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The Leading Licensed Private Home Care Agency in Pasco & Pinellas County.
(Pasco & Pinellas LIC# 30211711) (Homemaker & Companion Services LIC# 231199)
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Home
About
Home Care
Assisted Living Facility
Client Forms
ALF Info
Home Care Info
Career
Home Care Services
Pasco & Pinellas Counties
813-355-4891
Contact Powell Supportive Services
Home Care Information
First Name
*
Last Name
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
*
Email
*
Preliminary Diagnosis
*
Services Requested
*
Registered Nurse
Licensed Practical Nurse
Home Health Aide
Personal Care Aide
Physical Therapist
Companion
Nurturing Newborn Specialist
Other Services?
Bathing
Shopping
Eating
Dressing
Transfer
Ambulation
Cleaning
Meal Preparation
Other Help?
Number of Hours Needed
Please enter a number from
1
to
8766
.
Number of Days Needed
Please enter a number from
1
to
365
.
Other Scheduling Requirements
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Email
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